Chapter 1461: Drumming belly button

The image on the computer showed that MRI showed long T1 and short T2 signals in the liver, and diffuse restriction. The arterial mass was uniformly strengthened and rapidly emptied, and the delayed phase showed cystic enhancement.
According to the characteristics of strengthening, hepatocellular carcinoma can be initially diagnosed.
Surgery is not difficult.
Whether it is hepatic and biliary surgery to remove the right lobe of the liver, or interventional embolization, it is an indication.
However, the patient's situation is difficult for him to drink a lot.
"The amount of ascites is too large for surgery." Zheng Rendao: "It has been used for a long time to lower the ascites."

Yeah.
Professor Yang said:
Zheng boss, look at the patient?

Zheng Ren nodded and stood up and followed Professor Yang out.
He seems to have completely forgotten the purpose before he came to work with the hepatobiliary surgery.
When I came to the ward, the first thing that caught my eye was a raised belly.
The weather is already a little hot, it is the season of dressing.
The patient was wearing a black vest and his belly was exposed.
Although the amount of ascites has dropped a lot, it is still very large. It caused the stomach to rise high and even the belly button was slightly convex, and it looked particularly strange.
"Old Yang, you are here." The patient was in a semi-recumbent position, leaning against the bed, lying on the bed.
See Professor Yang coming in, he wants to sit up. However, because of the strong stomach, the abdominal muscles contracted, the pressure increased, and the body's natural protective response did not rise at once, and lay down again.
Professor Yang was very helpless and sighed: "You are lying down, Zheng boss, give me a look."
The patient saw Professor Yang coming in with two young doctors, some strange, but out of courtesy, did not speak.
Zheng Ren first glanced at the system panel, just like his own diagnosis, there was no difference.
It is only the degree of swelling of the patient's stomach, but it is much more serious than when doing nuclear magnetic film.
Recalling that the film was made 2 days ago.
Has it only reached this level in only 2 days? Zheng Ren’s first feeling was that this patient was not saved.
Although I thought so, Zheng Ren first checked the patient.
Percussion, a mobile voiced voice, Zheng Ren estimated that there are about 2000ml of peritoneal effusion.
This amount of ascites, not to mention cutting the liver, can not be done even if it is involved in this minimally invasive surgery.
Zheng Ren looked at the patient's raised belly button, especially helpless.
The same is true of Professor Yang, but he and his patients are classmates and are completely different from other patients.
His face was up and he was full of dissatisfaction.
Zheng Ren nodded and looked at Professor Yang's gaze and turned around.
"Yang Ge, the patient's condition is not good, the portal embolization can't do it." After going out, Zheng Ren told Professor Yang bluntly.
Professor Yang naturally knew that he had long sighed and said: "I told him to let him stop drinking and talk again. If there is no effect, then I can't help it."
Hepatocyte growth factor mainly acts on the portal vein. Hepatocyte proliferation can occur after portal ligation, a phenomenon that has been discovered since 1920.
In the past, I had to do a portal ligation, but it was a major operation.
After the interventional surgery, the embolization of the portal vein branch is sufficient.
Embolization of the portal vein branches to hyperplasia of the contralateral hepatic lobe, so that the residual liver can compensate for liver function after hepatectomy.
After the portal vein is embolized, hepatocytes can undergo dedifferentiation and clonal hyperplasia.
If the residual liver is a normal liver, up to 75% of the liver can be removed while still maintaining patient survival. But the patient's alcoholic liver... can't remove so much liver. However, patients do not need to remove 75% of the liver, as long as the tumor is removed.
However, embolization of the portal vein is also strictly required. A large amount of ascites in patients is one of the contraindications.
In theory, the benefit of the partial portal vein branch embolization before partial hepatectomy is that it not only makes the residual liver hypertrophy, but also avoids the sudden increase of portal pressure caused by partial liver resection and damages the residual liver.
There are many benefits, and this is one of the projects that hepatobiliary surgery and interventional departments can work together.
"Yang Ge." Su Yun said with a smile behind him: "Look at you in the morning, what about this?"
Speaking of this, Professor Yang’s footsteps paused and he smiled.
Where can you, Director Kong said?

This chicken thief, Su Yun scorned.
Something to say things, first ask the director Kong did not say, the inside of the thoughts will be more.
Zheng Ren didn't feel anything, smiled and said: "Say."
"Zheng boss, don't be polite to you, what do you think about this?" Professor Yang immediately asked.
"Look for a place, smoke the cigarette in detail." Zheng Rendao.
Came to the duty room.
It was in the morning that I had to go to the surgery, and the duty room was empty. No one.
Closing the door, Su Yun smoked, Zheng Ren directly asked: "Yang Ge, you are your own, don't hide, what do you need inside?"
At the beginning of the wandering around, Professor Yang and Director Luo of the Department of Gastroenterology were the first to support themselves.
There should be such a question.
Professor Yang was slightly tweaked, but Zheng Ren was very serious and serious. He thought about it and said, "This is not the deputy director of Kerry’s field. I want to retire. I am thinking about this position."
Zheng Ren stunned for a moment, but did not expect this reason.
However, the research and deputy directors have no relationship at all. EbookFREE.me~ It is not that the scientific research is done well, and the deputy director has not run out.
"Other conditions are not bad, level... You must be incomparable with Zheng Boss, but compared with other people in Corey, no one is afraid." Professor Yang said frankly: "Now there is a lack of momentum."
Zheng Ren and Su Yun did not speak, quietly waiting for Professor Yang to finish in one breath.
"This is not the smoother communication between you and the hospital recently. To tell the truth, you want to stick to the light of Zheng Boss." Professor Yang said frankly, his eyes were staring at Zheng Ren’s eyes. Look.
This is very real, Zheng Ren smiled and said: "Yang Ge, at the beginning, you have a lot of support for me. You have difficulties, I will definitely help."
Professor Yang knows that there will be, but he listens.
"Surgery, it should be live, can you accept this?" Zheng Ren asked.

Yes.
Professor Yang is happy,
Live is the best!

To build momentum, it is estimated that Professor Yang has other Olympic aids, but that has nothing to do with himself. Zheng Ren nodded.
"What does Director Li think?"

Director Li supports me.
Professor Yang said:
As long as the boss agrees with the project, I will start collecting the patient immediately. Interventional surgery, in my hospital bed, will be removed after a while.

"Row."
There is nothing hidden in this matter, and each needs it.
"Zheng boss, will not delay your Nobel Prize project." Professor Yang finally asked.
This is his most worrying thing. After all, the weight of a 912 director is far behind the Nobel Prize in medicine.
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